52-year-old John presents to the ER reporting that he has a headache that just doesn't go away and his vision is a little blurry. He is sure it is just another sinus infection. As you are taking his history you notice he is slurring some of his words and suddenly he slumps over. Are you prepared for the emergency that is happening right in front of you? Patients may present with or develop neurological symptoms at any time, making it essential that healthcare providers possess the ability - and the confidence - to quickly assess these changes and intervene appropriately. Stroke patients have a short window for treatment and they depend on your expertise. Join Cedric McKoy, MSN, ACNP, for this in-depth look at the advances in stroke management. Every nurse needs to know these critical concepts in order to provide the best and most up-to-date care to patients and their families. Cedric is well known for his ability to make complex concepts understandable and provides useful tips and tools you can immediately put into practice.

Register today and be prepared to make the difference between a good and bad outcome when faced with your next stroke emergency.

Objectives

Summarize the latest clinical advances in stroke assessment and treatment.

Describe the rationale behind acute perfusion strategies, including the indications and contraindications with t-PA and Mechanical Clot retrieval.

Explain the role of a Stroke Rapid Response Team.

Demonstrate a focused neurological exam for the patient potentially experiencing a stroke.

Compare ischemic and hemorrhagic strokes.

Develop a plan of care for a patient in the hyper-acute stage of stroke treatment.

Outline

Stroke Prevention Updates

Guidelines for Modifiable Risk Factors

Hypertension Recommendations

Cardiac Connections

Obesity Epidemic

Are We Making Progress?

Challenges of the Neuro Exam

Determining Mental Status

Cranial Nerve Assessment Key Findings

Differentiating the Cause When Seconds Count

NIHSS Guidelines

Stroke Rapid Response Teams

Identifying Stroke Mimics and Chameleons

Interpreting Imaging & Other Diagnostics

Metabolic Problems

Central Nervous System Problems

Psychiatric Disorders

Migraine Headaches

Acute Stroke Care

The Stroke Timeline

Critical History Questions

Hyper-Acute Care Standards

Time Targets for Triage

Key Diagnostics

Acute Blood Pressure Management

Ischemic Strokes

Thrombotic Strokes

Major Symptoms by Region

Hypercoagulable Work-up

Embolic Strokes

Symptoms by Arterial Involvement

Current Management Strategies

Joint Commission Core Measures

Fluid Management

Seizure Management

Intra-Arterial t-PA

Stenting

Therapeutic Hypothermia

Compressive Craniectomy

Mechanical Clot Retrieval

MERCI Retriever

Treatments on the Horizon

AANN Guidelines & Expected Outcomes

Hemorrhagic Strokes

Latest Clinical Treatment Advances

Managing Increased Intracranial Pressure

Aneurysmal Subarachnoid Hemorrhage

Grading Scales

Limiting Complications of Stroke

Controversial Therapies

Nursing Responsibilities

New Technology Improving Outcomes

Stroke Medication from A to Z

Anticoagulants

Antihypertensives

Glycemic Control

Neurostimulants

Thrombolytics

Clinical Trials on the Horizon

Expanding the Role of the Primary Stroke Center

The Transition to Comprehensive Stroke Centers

Best Demonstrated Practices

Updates & Improvements More than a Decade Later

Author

CEDRIC MCKOY, MSN, ACNP

Cedric McKoy is a neuro-intensive care nurse practitioner and the Associate Director of the Comprehensive Stroke Center at the University of Chicago Medical Center (UCMC). UCMC serves close to 500 stroke patients annually and includes a neurointensive care unit for patients with ICH, ischemic stroke, subarachnoid hemorrhage, brain tumors, traumatic brain injuries, myasthenia gravis, Guillain-Barré syndrome, and acute disseminated encephalomyelitis.

As an acute care nurse practitioner, Cedric works with a team of neuro-intensivists to assess and develop care plans for ICU patients, as well as providing hospital wide consultation for neuro patients. In his role as the Stroke Center Coordinator, Cedric trains critical care nurses and is responsible for TJC data collection for the hospital's stroke patient population. He also contributed to the development of the Stroke Management Guidelines for the UCMC.

A graduate of the University of Wisconsin-Madison and Loyola University-Chicago, Cedric is a member of the American Association of Critical Care Nurses, American Stroke Association and the Stroke Action Alliance.

Speaker Disclosures:

Financial: Cedric McKoy is the Stroke Center Coordinator for The University of Chicago Medical Center. He receives a speaking honorarium from PESI, Inc.

Non-financial: Cedric McKoy has no relevant nonfinancial relationships to disclose.

Continuing Education Credits

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Florida Nurses:

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